Ready-to-use multiplex real time PCR assays for the detection of STEC & the identification of EHEC Sylvie HALLIER-SOULIER(1), Patrick FACH(2) and Lothar BEUTIN(3) (1)GeneSystems, centre d’affaires CICEA, 1, rue du courtil, 35170 Bruz, France; (2)AFSSA, 23, Av du Général de Gaulle, 94700 Maison-Alfort, France; INTRODUCTION OBJECTIVE Shigatoxin-producing Escherichia coli (STEC) have clearly emerged as important life-threatening foodborne pathogens due to their implication in several human outbreaks in various countries worldwide. The most prevalent E. coli serovars associated with HUS are O26, O103, O111, O145 and O157H7. These strains carry virulence-associated genes, encoding for the shigatoxins (stx1 and/or stx2), the intimin (eae) and/or the enterohemolysin (ehxA). Specific primers and probe sets for stx (2), eae (1), ehx genes and the 5 major serogroups were previously designated (2, 3). Two innovative multiplex PCR assays (GeneDiscs), using a new real time PCR technology (the GeneDisc Cycler) have been developed for the routine detection of STEC and the identification of EHEC in foodstuff. The specificity of the PCR reactions was demonstrated. (3)Federal Institute for risk Assessment (BfR), National Reference Laboratory for E. coli, Diedersdorfer Weg 1, Berlin, Germany. RESULTS METHOD Screening GD Take a fraction of a single colony Transfer into 200 µL of sterile water Target gene Number of strains(1) ehx+ ehx- 22 32 22 33 34 16 181 33 31 16 98.9 87 162(3) 81 32 221 32 stx1 stx2 stx1 + stx2 stxeae+ eaerfbEO157+ rfbEO157- Boiling for 10 min MATERIAL Identification GD GeneDisc Specificity positive result (%) Number of strains(1) GeneDisc positive result Specificity (%) ihp1-O145+ ihp1-O145- 30 327 28 99.4 fliC-H7+ fliC-H7- 24 252 24 100 wzx-O26+ wzx-O26- 29 332 29 100 97.6 wbdl-O111+ wbdl-O111- 23 333 23 100 100 wzx-O103+ wzx-O103- 28 325 28 100 100 (2) Target gene (1)Bacterial (2) 1 Analysis sector/DNA sample (6 identical sectors/GeneDisc) 6 1 4 3 5 6 PCR wells/DNA sample 2 Screening GD 6 1 4 3 + 5 E. coli O157 & STEC Identification GD 2 Genotypes were defined by the presence of genes (classical PCR) and the gene expression (Vero cell test, ELISA). E. coli strains and 30 other Enterobacteriaceae (Yersinia, Salmonella, Citrobacter, Hafnia, Klebsiella, Proteus, Shigella …).(3)E. coli strains and 32 other Enterobacteriaceae. • The major ehx-types associated with highly virulent EHEC stains were all detected. • All genetic variants of stx1 & stx2 were detected except stx2f (3 strains) which is mainly associated with STEC from feral pigeons. EHEC Identfication • The major eae-types associated with highly virulent EHEC stains were all detected, except strains carrying the eae-rho variant (6 strains). E. Coli O157 & STEC GeneDisc EHEC Identification GeneDisc • All types of E. coli O157 , including O-rough mutants (4 strains), were detected by the rfbE gene PCR. PCR Well FAM Detection ROX Detection PCR Well FAM Detection ROX Detection 1 Positive control Negative control 1 ihp1-O145 Negative Control 2 ehx stx1 & stx2 2 ihp1-O145 Positive control 3 ehx stx1 & stx2 3 fliC-H7 wbdl-O111 4 rfbEO157 eae 4 flic-H7 wbdl-O111 5 rfbEO157 eae 5 wzx-O26 wzx-O103 6 Negative control Positive control 6 wzx-O26 wzx-O103 Screening GD • The O145 ihp1-like PCR is 100% specific for detection of EHEC and EHEC-like O145 strains and their O-rough derivatives. • The O145 ihp1-like PCR is negative with O145 EPEC, other non EHEC O145 strains and non-O145 strains except E. coli O133 and O137, which are stx and eae negative. • The fliC-H7, wzx-O26, wzx-O103 and wbdl-O111 markers are 100% specific for E. coli strains, as well as: - non motile derivatives carrying a fliC-H7 gene, - O-rough mutants of E. coli O26, O103 and O111. CONCLUSIONS Identification GD This study demonstrates the specificity of the PCR reactions over a large range of bacteria (more than 300 strains). Both GeneDisc assays (screening + identification GeneDiscs) offer reliable tools for the routine screening of STEC and EHEC in bacterial isolates. Validation of the method is in progress with food samples. GeneDisc Cycler REFERENCES (1)Møller Nielsen E. and Thorup Andersen M., J clin Microbiol, 2003, 41:2884-2893; (2)Perelle S. et al., Mol Cell Probes, 2004, 18:185–192; (3) Perelle S. et al. J Appl Microbiol, 2005, 98:1162–1168.